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Hung Q. Vo

Publications and source records attributed to Hung Q. Vo.

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CodeCytos: AI-assisted spatial molecular imaging analysis via code-augmented agent action space

Conventional tissue image analysis software provides foundational capabilities for cellular analysis, including segmentation, basic morphological feature extraction, and spatial organization analysis. However, these tools often require manual intervention and are not well integrated with code-driven automation, limiting efficiency and scalability for complex spatial tissue studies. In addition, they offer limited flexibility for custom analyses, as they typically support only a fixed set of pre-implemented spatial cellular features. To address these limitations, we propose CodeCytos, a coding-based reasoning agent framework that enables dynamic, programmable interaction with spatial molecular imaging data to improve automation and customization. CodeCytos is designed to streamline the exploration of custom spatial cellular features and adapt to diverse research needs. We demonstrate its utility through case studies on four expert-curated datasets from distinct tissue types: frontal cortex, non-small-cell lung cancer, pancreas, and tonsil. We evaluate CodeCytos under a realistic minimal prompt setting, where bioscientists pose simple questions without task-specific instructions or contextual information about spatial cellular analysis, and benchmark multiple LLM backbones with strong coding capabilities. We further show that incorporating tailored, domain-agnostic few-shot in-context coding-reasoning examples (randomly sampled demonstrations outside the spatial analysis domain) can substantially improve performance without requiring costly, expert-crafted in-domain demonstrations. Overall, CodeCytos outperforms baseline approaches, highlighting the potential of code-action agents to assist with custom feature exploration in spatial molecular imaging and to accelerate biomarker discovery.

cs.CV

Revisiting Invariant Learning for Out-of-Domain Generalization on Multi-Site Mammogram Datasets

Achieving health equity in Artificial Intelligence (AI) requires diagnostic models that maintain reliability across diverse populations. However, breast cancer screening systems frequently suffer from domain overfitting, degrading significantly when deployed to varying demographics. While Invariant Learning algorithms aim to mitigate this by suppressing site-specific correlations, their efficacy in medical imaging remains underexplored. This study comprehensively evaluates domain generalization techniques for mammography. We constructed a multi-source training environment aggregating datasets from the United States (CBIS-DDSM, EMBED), Portugal (INbreast, BCDR), and Cyprus (BMCD). To assess global generalizability, we evaluated performance on unseen cohorts from Egypt (CDD-CESM) and Sweden (CSAW-CC). We benchmarked Invariant Risk Minimization (IRM) and Variance Risk Extrapolation (VREx) against a rigorously optimized Empirical Risk Minimization (ERM) baseline. Contrary to expectations, standard ERM consistently outperformed specialized invariant mechanisms on out-of-domain testing. While VREx showed potential in stabilizing attention maps, invariant objectives proved unstable and prone to underfitting. We conclude that engineering equitable AI is currently best served by maximizing multi-national data diversity rather than relying on complex algorithmic invariance.

cs.CV

Efficient Multi-scale Masked Autoencoders with Hybrid-Attention Mechanism for Breast Lesion Classification

Self-supervised learning (SSL) with Vision Transformers (ViT) has shown immense potential in medical image analysis. However, the quadratic complexity ($\mathcal{O}(N^2)$) of standard self-attention poses a severe barrier for high-resolution biomedical tasks, effectively excluding resource-constrained research labs from utilizing state-of-the-art models. To address this computational bottleneck without sacrificing diagnostic accuracy, we propose \textbf{MIRAM}, a Multi-scale Masked Autoencoder that leverages a \textbf{hybrid-attention mechanism}. Our architecture uniquely decouples semantic learning from detail reconstruction using a dual-decoder design: a standard transformer decoder captures global semantics at low resolution, while a linear-complexity decoder (comparing Linformer, Performer, and Nyströmformer) handles the computationally expensive high-resolution reconstruction. This reduces the complexity of the upscaling stage from quadratic to linear ($\mathcal{O}(N)$), enabling high-fidelity training on consumer-grade GPUs. We validate our approach on the CBIS-DDSM mammography dataset. Remarkably, our \textbf{Nyströmformer-based variant} achieves a classification accuracy of \textbf{61.0\%}, outperforming both standard MAE (58.9\%) and MoCo-v3 (60.2\%) while requiring significantly less memory. These results demonstrate that hybrid-attention architectures can democratize high-resolution medical AI, making powerful SSL accessible to researchers with limited hardware resources.

cs.CV

Multiplexed Immunofluorescence Brain Image Analysis Using Self-Supervised Dual-Loss Adaptive Masked Autoencoder

Reliable large-scale cell detection and segmentation is the fundamental first step to understanding biological processes in the brain. The ability to phenotype cells at scale can accelerate preclinical drug evaluation and system-level brain histology studies. The impressive advances in deep learning offer a practical solution to cell image detection and segmentation. Unfortunately, categorizing cells and delineating their boundaries for training deep networks is an expensive process that requires skilled biologists. This paper presents a novel self-supervised Dual-Loss Adaptive Masked Autoencoder (DAMA) for learning rich features from multiplexed immunofluorescence brain images. DAMA's objective function minimizes the conditional entropy in pixel-level reconstruction and feature-level regression. Unlike existing self-supervised learning methods based on a random image masking strategy, DAMA employs a novel adaptive mask sampling strategy to maximize mutual information and effectively learn brain cell data. To the best of our knowledge, this is the first effort to develop a self-supervised learning method for multiplexed immunofluorescence brain images. Our extensive experiments demonstrate that DAMA features enable superior cell detection, segmentation, and classification performance without requiring many annotations.

cs.CV

Multimodal Breast Lesion Classification Using Cross-Attention Deep Networks

Accurate breast lesion risk estimation can significantly reduce unnecessary biopsies and help doctors decide optimal treatment plans. Most existing computer-aided systems rely solely on mammogram features to classify breast lesions. While this approach is convenient, it does not fully exploit useful information in clinical reports to achieve the optimal performance. Would clinical features significantly improve breast lesion classification compared to using mammograms alone? How to handle missing clinical information caused by variation in medical practice? What is the best way to combine mammograms and clinical features? There is a compelling need for a systematic study to address these fundamental questions. This paper investigates several multimodal deep networks based on feature concatenation, cross-attention, and co-attention to combine mammograms and categorical clinical variables. We show that the proposed architectures significantly increase the lesion classification performance (average area under ROC curves from 0.89 to 0.94). We also evaluate the model when clinical variables are missing.

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